| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
439 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
130 |
122 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
115 |
100 |
$4K |
| 99219 |
|
62 |
60 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
51 |
$2K |
| 99221 |
|
75 |
68 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
116 |
85 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
27 |
27 |
$810.17 |
| 99218 |
|
12 |
12 |
$333.44 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13 |
12 |
$287.44 |
| 71045 |
Radiologic examination, chest; single view |
14 |
12 |
$0.00 |